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신재승(JS Shin),구병삼(BS Koo),홍성봉(SB Hong),이수종(SJ Lee) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.9
A clinical analysis was made of fetal death in utero at Korea university Hospital during 7 years from Jan., 1, 1971 to Dec., 31, 1977. There were sixty-five fetal deaths in utero among 6064 deliveries in which weighed more than 500 grams among bron after 20 weeks gestation. The results of this study were as follows: 1. The incidence of fetal death in utero was 1.07%. 2. No. of F.D.I.U. was most highest(46.1%) in 25-29 years range, but according to percentage per delivery No., F.D.I.U. was most lowest(0.9%) in 26-30 years range and most frequent(7.7%) under 19 years. 3. Parity distribution of the study group was most highest in nulliparous group(47.7%), followed by para 1 and para 2. 4. The 9.2% of the study group has had a previous fetal death in utero. 5. The 55.4% of the infants weighed less than 2,500 grams and the sex ratio of male fetus versus female fetus was 1.5:1. 6. In maternal complications of the fetal death in utero, 48% of the cases were homorrhage and uterine rupture in 28%, intrapartum fever in 16%, septicemia and cervical laceration in 4%, respectively. 7. In the etiologic factors of fetal death in utero, 50.7% of the cases were unexplained causes and toxemia was associated with 12.4%, uterine rupture with 10.8%, amnionitis with 7.7%, syphills with 6.2%, cord complication with 3.1%, placental abruption and placenta previa with 4.6%. 8. About 30% of the fetal deaths were thought to be preventable : The resposibility was equally divided between patient and physician.
신재승(JS Shin),구병삼(BS Koo) 대한산부인과학회 1979 Obstetrics & Gynecology Science Vol.22 No.10
Hysterosalpingography has proven to be an important diagnostic method for over 50 years. It has an established role in the diagnosis and treatment of infertility, tubal pathology, and in the evaluation of intrauterine disease and uterine anomaly. A clinical analysis has been made on a study of 230 cases of infertile patients based on clinical records and hysterosalpingograms. The result were as follows; 1) In 230 cases of infertility, 116 cases were primary infertility and the remaining 114 cases were secondary infertility. Age distribution show that from 21 years of age to 42 years of age. The peak incidence of primary infertility was in the 25-29 year old group(60.3%), whereas the peak incidence of secondary infertility was 30-34 year old group(47.4%). 2) The most common duration of infertility was under 3 years, 49.1% in primay infertility, 65.8% in secondary infertility, respectively. 3) In past history, induced abortion was most common(19.6%) in secondary infertility. Pulmonary tuberculosis was found in 6.5% and exploratory laparotomy in 6.1%. 4) Uterine shadow revealed 139 cases(60.4%) of normal finding, 22 cases(9.6%) of hypoplastic shadow and 17 cases(7.4%) of irregular uterine cavity shadow. 5) Tubal shadow showed 139 cases(60.4%) of normal finding, and hydrosalpinx(14.3%) was the most frequent shadow among remaning abonrmal shadows. 6) Normal hysterosalpingram appeared in 125 cases(54.3%) and 43 cases(18.7%) revealed abnormality in uterine, tubal, intra-abdominal shadows. 7) Bilateral tubal occlusion was noted in 45 cases(19.6%). Unilateral tubal occlusion in 42 cases(8.3%). 8) Sites of tubal occlusion were found in the ampulla and fimbrial portion(26.6%), in cornual portion(10.4%), and in isthmic portion(4.3%). 9) Intra-abdominal spillage of radiopaque material appeared in 184 cases(80.0%) and the most common appearance was homogenous hazy shadow. 10) Intravravasation of radioopaque material was found in 19 cases(8.3%). 11) Comparison of hysterosalpingography and endoscopy in evalua
김선행(SH Kim),최영송(YS Choi),신재승(JS Shin),구병삼(BS Koo) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.5
A case of spontaneous uterine rupture of bicornuate uterus in 27 weeks of pregnancy is presented with a brief review of literatures concerning congenital uterine anomalies.
이수종(SJ Lee),구병삼(BS Koo),신재승(JS Shin),남웅수(US Nam) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.4
The mucocolpometra is a rare disorder usually associated with congenital malformation such as imperforated hymen, transverse vaginal septum, or other occlusion of external genitalia. The authours reports a case of mucocolpometra due to atresia of vagina in 80 years old multiparous woman . The patients had been admitted to gynecological department because of yellowish vaginal leucorrhea and left flank pain. This genital tract disorder was easily detected by means of inspection and manual examination. A transabdominal hysterectomy was performed due to above condition, and neoplastic ovaries and uterine change had to be ruled out by pathologcial studies. The mucous materila not only filled into the uterine and vaginal cavities but chronic granulomatous inflammation was noted throughout endometrium and cervix. The patients was advised to have further evaluation to rule out possible malignancy. She refused additional medical care.
구병삼(BS Koo),차종욱(CU Cha),김선행(SH Kim),신재승(JS Shin),이규진(KJ Lee),정진각(JK Jung),김주환(CH Kim) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.4
저자들은 자궁내의 변위임신으로서 자궁경부임신이 죄측자궁각임신과 공존되어 있으며 좌측난소종양이 동반되었던 1예를 경험하였기에 보고하며 간단한 문헌 고찰을 하였다. A case of intrauterine multiple ectopic pregnancies were coincidently occurred in the cervical canal and left angular portion of the uterus with association of left ovarian cyst in a 38-years multiparous wiman, is presented with a brief review of literatures.